Provider Demographics
NPI:1932441854
Name:UROLOGIC SPECIALISTS ASSOCIATES , P.A.
Entity Type:Organization
Organization Name:UROLOGIC SPECIALISTS ASSOCIATES , P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANILO
Authorized Official - Middle Name:K
Authorized Official - Last Name:ASASE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-428-6871
Mailing Address - Street 1:5505 S EXPRESSWAY 77
Mailing Address - Street 2:STE. 305
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3214
Mailing Address - Country:US
Mailing Address - Phone:956-428-6871
Mailing Address - Fax:956-364-1278
Practice Address - Street 1:5505 S EXPRESSWAY 77
Practice Address - Street 2:STE. 305
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3214
Practice Address - Country:US
Practice Address - Phone:956-428-6871
Practice Address - Fax:956-364-1278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9955208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty